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All Journal e-Journal Pustaka Kesehatan Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal Kesehatan Masyarakat (IKESMA) Jurnal NERS Jurnal Keperawatan Sriwijaya Jurnal Penelitian Pendidikan IPA (JPPIPA) NurseLine Journal Jurnal ABDINUS : Jurnal Pengabdian Nusantara Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa) JPK: Jurnal Proteksi Kesehatan Indonesian Journal of Global Health research Babali Nursing Research Nursing and Health Sciences Journal (NHSJ) Madago Nursing Journal Lentera Perawat Journal of Nursing Science Update DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Jurnal Kesehatan Komunitas Indonesia Dedikasi Saintek Jurnal Pengabdian Masyarakat Health and Technology Journal (HTECHJ) Jurnal Ilmiah Kesehatan Jurnal Kegawatdaruratan Medis Indonesia Jurnal Vokasi Keperawatan (JVK) International Health Sciences Journal DEDIKASI SAINTEK Jurnal Pengabdian Masyarakat NERS Jurnal Keperawatan
Erti Ikhtiarini Dewi
Fakultas Keperawatan Universitas Jember, Jember
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Computer Science & IT Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Library & Information Science Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Other

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Integrating Expressive Writing into Nursing Care for Schizophrenia Patients with Hallucinations: A Case Report Bela Puspita Sari; Erti Ikhtiarini Dewi
Madago Nursing Journal Vol. 6 No. 1 (2025)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/mnj.v6i1.4095

Abstract

Background: Hallucinations represent a common sensory perception disorder in schizophrenia patients, affecting 70-80% of cases. Expressive writing therapy serves as a potential non-pharmacological intervention to reduce hallucination symptoms through emotional catharsis and distraction mechanisms. To analyze the effectiveness of expressive writing therapy in reducing hallucination symptoms in schizophrenia patients. Methods: A qualitative case study was conducted on a 23-year-old female patient with hebephrenic schizophrenia diagnosis at Dr. Radjiman Wediodiningrat Mental Hospital Lawang. The intervention was performed for 3 days combining expressive writing therapy 20 minutes/day and hallucination management implementation strategies. Data were collected through observation, interviews, and document analysis. Results: A significant reduction in hallucination symptoms was observed, decreasing from 5 symptoms to 3 symptoms post-intervention. The patient demonstrated improved ability to control hallucinations through rejecting techniques (100%), regular medication adherence (100%), and beginning social interaction capability. Emotional expression through writing showed progression from traumatic experiences toward positive hopes. Conclusion: Expressive writing therapy is effective as an adjuvant intervention in reducing hallucination symptoms and enhancing emotional expression in schizophrenia patients.
Application of progressive muscle relaxation therapy to reduce anxiety in clients with hypertension: A case study Fitria, Lailatul; Dewi, Erti Ikhtiarini; Deviantony, Fitrio; Kusumaningsih, Amalia
Lentera Perawat Vol. 6 No. 4 (2025): October - Desember
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i4.562

Abstract

Background: Hypertension is frequently associated with psychological disorders, particularly anxiety, which may worsen physiological responses and lead to decreased quality of life. Progressive Muscle Relaxation (PMR) is a non-pharmacological intervention proven to reduce anxiety and enhance psychological and physiological stability among clients with chronic diseases. Objective: This case study aimed to evaluate the effectiveness of PMR therapy in reducing anxiety levels in a hypertensive client. Methods: A single-case study design using a nursing care approach was implemented on a client diagnosed with stage 2 hypertension and moderate anxiety based on the Hamilton Anxiety Rating Scale (HARS). PMR therapy was performed once daily for five consecutive days, supported by assessments through interviews, observation, vital sign monitoring, and HARS evaluation. Results: The client demonstrated a decrease in anxiety level from moderate (HARS score: 17) to mild (HARS score: 13) after five therapy sessions. Additional improvements were noted in sleep duration, perceived relaxation, and blood pressure stability. The client became able to independently perform PMR beginning on day three. Conclusion: Progressive Muscle Relaxation therapy demonstrated a positive impact on reducing anxiety among hypertensive clients when practiced consistently and systematically. PMR may be recommended as a complementary nursing intervention in community settings to improve psychological well-being and prevent hypertension-related complications. Further studies using larger sample sizes are recommended to strengthen generalizability.
Self-efficacy and Job Stress among Tobacco Farmers Enggal Hadi Kurniyawan; Alfia Andriyani; Emi Wuri Wuriyaningsih; Erti Ikhtiarini Dewi; Rismawan Adi Yunanto; Fitrio Deviantony; Yeni Fitria
Health and Technology Journal (HTechJ) Vol. 1 No. 3 (2023): June 2023
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v1i3.41

Abstract

Farmers have heavy work demands, so farmers are at risk of injury and work-related illnesses such as mental stress disorder. This study analyzed the relationship between self-efficacy and work stress in tobacco farmers. The research design used is the analytic correlation with a cross-sectional approach. The sampling technique uses probability sampling with cluster sampling. The sample for this research is tobacco farmers who are members of the farmers' group, with a sample size of 100 respondents. The instrument used in this study was the GSE (General Self-efficacy) Questionnaire to measure self-efficacy in tobacco farmers. The DASS 42 Questionnaire (Depression, Anxiety, Stress, Scale) was used to measure work stress—data analysis using the Pearson test correlation test. The average tobacco farmer has high Self-Efficacy and low work stress. The results of the Pearson test, namely the p-value of 0.001 with a correlation value of -0.419, show a relationship between self-efficacy and work stress with a moderate correlation level with a negative correlation direction. Nurses are expected to carry out counseling activities for tobacco farmers to prevent work stress and increase self-efficacy in tobacco farmers.
Perilaku Self-Harm pada Remaja Awal di Wilayah Pertanian Kabupaten Jember Adela Qiyas Aulawi; Yeni Fitria; Enggal Hadi Kurniyawan; Erti Ikhtiarini Dewi; Fitrio Deviantony
Health and Technology Journal (HTechJ) Vol. 2 No. 3 (2024): June 2024
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v2i3.204

Abstract

Early adolescents who are unable to deal with stress well will trigger maladaptive coping mechanisms such as self-harm. Self-harm behavior has become an adolescent trend that can endanger lives. This research aims to explore self-harm behavior among early adolescents at the Agricultural Area in Jember. The method used is quantitative descriptive with a cross-sectional approach. The research sample was obtained using a proportional stratified random sampling technique with a total sample of 376 respondents. Data was collected using the Deliberate Self-Harm Inventory (DSHI) questionnaire and data analysis using univariate analysis. The research results showed that almost all the respondents carried out self-harm in the low category; namely, 319 respondents (84.8%) and the remaining 27 respondents (7.2%) carried out self-harm in the medium category, two respondents (0.5%) did self-harm in the high category, 28 respondents (7.4%) never did self-harm. The low category of self-harm behavior that early adolescents often carry out is deliberately preventing wounds from healing, and the least common is intentionally breaking bones. Early adolescents who engage in low levels of self-harm behavior do not mean that these early adolescents will not attempt suicide. Psychiatric nurses and community nurses are expected to be able to coordinate with schools to develop appropriate nursing interventions for early adolescents who engage in self-harm behavior.
Penerapan Terapi Afirmasi Positif dalam Meningkatkan Harga Diri pada Pasien Harga Diri Rendah : Studi Kasus Febrinia Mutiara Fiska; Enggal Hadi Kurniyawan; Erti Ikhtiarini Dewi; Amalia Kusumaningsih
Health and Technology Journal (HTechJ) Vol. 2 No. 4 (2024): August 2024
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v2i4.219

Abstract

Low self-esteem will experience negative feelings which cause loss of self-confidence, feelings of worthlessness and pessimism about oneself. Positive affirmation therapy is giving positive sentences which are usually about ideals and hopes expressed in thoughts or writing which are done repeatedly. This research aims to analyze how positive affirmation therapy is applied in providing mental nursing care for people with low self-esteem. The method used in this scientific work is a case study of a client in the Wijaya Kusuma room at Radjiman Wediodiningrat Lawang Hospital with a nursing problem of Chronic Low Self-Esteem adjusted to the Low Self-Esteem SP and then receiving additional non-pharmacological therapy in the form of positive affirmation therapy for 10 minutes at every 5-day meeting. Interventions for clients with chronic low self-esteem are adapted to SP chronic low self-esteem and self-esteem promotion interventions and substance abuse education. After that, Positive Affirmation therapy is given for 10 minutes at each meeting. This positive affirmation therapy can free oneself from negative thoughts and can increase an individual's ability to have positive thoughts. There is a need for non-pharmacological therapy that is easy, effective and economical, namely positive affirmation therapy to increase client self-esteem for clients in nursing care for clients with low self-esteem.
Analisis Penerapan Murottal Al-Quran Terhadap Tanda Dan Gejala Halusinasi Pendengaran Ny. R Di Wilayah Kerja Puskesmas Panti Kabupaten Jember Juwita Puspita Rini Saputri; Enggal Hadi Kurniyawan; Erti Ikhtiarini Dewi; Amalia Kusumaningsih
Health and Technology Journal (HTechJ) Vol. 2 No. 5 (2024): October 2024
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v2i5.240

Abstract

Schizophrenia is a serious mental health problem where one of the symptoms is hallucinations. Signs and symptoms of hallucinations include feeling more comfortable with their situation, the client is seen laughing and talking to himself or expressing things that are not actually real, so pharmacological and non-pharmacological therapy management is needed. One of them is by providing Murottal Al-Qur'an therapy. The aim of this research is to explain nursing care and determine the analysis of Al-Quran murottal therapy on reducing the signs and symptoms of auditory hallucinations experienced by patients. This research design uses descriptive research with a case study method. Therapy is given for 7 days for 15 minutes by listening to the chanting of holy verses from the Koran, one of which is Surah Ar-Rahman and Surah Al-Jinn. The results of the research were a decrease in the signs and symptoms of hallucinations in clients and the ability to control their hallucinations by carrying out positive activities, conversing with people around them and murottalizing the Koran. Providing Al-Quran murottal therapy can reduce the client's signs and symptoms of hallucinations, namely daydreaming, isolating himself, smiling, talking to himself, lack of eye contact and hearing voices that are not real.
Providing Spiritual Dhikr Therapy to Patients with Sensory Perception Disorders and Auditory Hallucinations Adista Nur Alifa; Enggal Hadi Kurniyawan; Erti Ikhtiarini Dewi; Amalia Kusumaningsih
Health and Technology Journal (HTechJ) Vol. 3 No. 2 (2025): April 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i2.329

Abstract

Hallucinations could cause someone to be unable to distinguish between what was real and what was merely an illusion. During hallucinations, the client could react with suspicion, fear, curiosity, insecurity, anxiety, and confusion. In this case, Mr. H experienced auditory hallucinations in the form of male whispers. Spiritual dhikr therapy could be used as an approach to healing mental illness, emphasizing inner strength. This study aimed to apply spiritual dhikr therapy to patients with sensory perception disorders: auditory hallucinations. The method used was a case study on a patient with hallucinations, with spiritual dhikr therapy intervention provided for 7 days to the patient. The therapy included reciting the phrase "Alhamdulillah" 33 times, "Subhanallah" 33 times, "Astaghfirullah" 33 times, and "Allahu Akbar" 33 times over 10-15 minutes. The client underwent hallucination management intervention and was given spiritual dhikr therapy. After being conducted for 7 days, the client experienced a decrease in the level of hallucinations and an improvement in hallucination control. Improvement in hallucination control could be achieved by providing continuous hallucination management and spiritual dhikr therapy, enabling the client to awaken their will and belief and understand the techniques being taught. Conclusion: The application of spiritual dhikr therapy could yield positive results and serve as an effective non-pharmacological therapy for clients with auditory hallucinations or schizoaffective disorders
Work Stress Mapping of Farmers in Jember Regency Enggal Hadi Kurniyawan; Nurfika Asmaningrum; Rondhianto; Erti Ikhtiarini Dewi; Alfid Tri Afandi
Jurnal Penelitian Pendidikan IPA Vol 11 No 11 (2025): November
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v11i11.12898

Abstract

Work stress among farmers remains an overlooked occupational health issue in Indonesia despite high vulnerability to economic and environmental pressures. This study aimed to map farmers’ stress levels and identify demographic factors influencing stress. A quantitative descriptive design was used with 140 farmers selected through purposive sampling in Jember Regency. Stress was measured using the DASS-42 stress subscale, and data were analysed descriptively and through multiple linear regression. Results showed that 62.9% of farmers experienced mild stress, 30.7% moderate stress, and 6.4% severe stress. Regression analysis demonstrated that gender (p=0.012), educational attainment (p=0.005), family role (p=0.030), number of family members (p=0.025), land size (p=0.008), and monthly income (p=0.001) significantly influenced stress levels. Female farmers, individuals with low education, heads of households, farmers with more than four family members, land ≤ 0.65 ha, and income < Rp 1,916,983 had markedly higher stress scores.  The study concludes that farmer stress is shaped by socioeconomic vulnerability and limited resources. These findings highlight the need for targeted interventions, including capacity-building programs, improved access to agricultural support, and policies that enhance economic stability to reduce work-related stress among Indonesian farmers
Co-Authors Achir Yani S. Hamid Adela Qiyas Aulawi Adhelia Reisa Zalsabilla Adista Nur Alifa Aditya Kusuma Wardana Afrize Rosalia Ahmad Muizzulhafiidh Ahmad, Intan Faradela Alfia Andriyani Alfid Tri Afandi Alifia Marcheilla Yulfansha Amadea Yollanda Amalia Kusumaningsih Amalia Kusumaningsih Amalia Kusumaningsih Ami Allaili Aura Najwa Salasabila Azizah, Lia Bafidz Arifahmi Bachtiyar Bela Puspita Sari Devi Chintya Ayu Palupi Dini Kurniawati Dita Dityas Hariyanto Dodi Wijaya Emi Wuri Wuriyaningsih Emi Wuri Wuryaningsih Endah Luthfiana Sari Enggal Hadi K Enggal Hadi Kurniyawan Erlando, Robby Prihadi Aulia Febrianty, Dyta Febrinia Mutiara Fiska Feno Aureola Maharani Ferdiana Sari Tidar Feri Ekaprasetia Firnanda, Dhea FITRI NURCAHYANI Fitria, Halena Laila Fitria, Lailatul Fitrio Deviantony Geldine Raudina Freshta Delendra Hadi, Enggal Hafan Sutawardana, Jon Hamzah, Rizqi Bachtiar Hanny Rasni Indra Stiawan Juwita Puspita Rini Saputri Kushariyadi Kusumaningsih, Amalia Lantin Sulistiyorini, Lantin Laras Ati, Niken Asih Latifa Aini Susumaningrum Latifa Aini Susumaningrum Lie Liana Fuadiati Luh Putu Ratna Sundari Muhammad Anshori Rizqi Putra Mulia Hakam Mustikasari, Novia Narulia Sari Noviyanti Fernandy Noviyanti Noviyanti Nur Aini Nur Widayati Nurfika Asmaningrum Nurfika Asmaningrum nuriyah halida Oktaviana Dwi Kartikasari Peni Perdani Juliningrum, Peni Perdani Permatasari, Vio Nadya Ragil Deshinta Ratna Sari Hardiani Regita Sari Dwi Cahyani Resita Ovina Intiyaskanti Rismawan Adi Yunanto Rista Dwi Pratiwi Rommiyatun Zainiyah Rondhianto Rondhianto Santoso, Sofi Fitriyah Sari Mulia Ningrum Sekar Ayu Widowati Siti Hotijah Tantut Susanto Vania Putri Widiagma Wahyu Elok Pambudi Wantiyah Wantiyah Widiyantari, Ni Made Galuh Windi Noviani Yeni Fitria Yunita Eka Ratnasari Yunus Nur Zakarya Zulfa Makhatul Ilmi